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Retired NBME 24 Answers

nbme24/Block 3/Question#31 (reveal difficulty score)
A 65-year-old man is brought to the emergency ...
Systemic vascular resistance: increased;
Pulmonary vascular resistance: decreased;
Pulmonary capillary wedge pressure: increased 🔍 / 📺 / 🌳 / 📖
tags:

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 +21  upvote downvote
submitted by ∗hungrybox(1277)
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I arlyel d’ndti ddrusantne sith qnoeuits neve rfeat eangrdi all hte wserans eerh os I aedmlei .Dr Knuaedlb eth( p)eret!x

reHes’ atwh eh ads:i

This is a aces fo uatce ahtre uealifr oglflwion an autce ihcsmcie nevte ST( enatvelio ni noatrrei esa.l)d SVR ssineaecr ceesabu of lnroauherumo ,coianaivtt which lshpe to inamanti B.P CPWP sinreseac aucebse uctae FH easusc bolod ot acbk up otin the raupnlomy ctlucn.iiroa nrcaesIde lroaumpyn bdolo mueovl esuacs lal eht aumlnpyor eeurpsssr to .esnraeic RPV ERESECADS beacuse het aorymupnl aluecvatsur has a yrve ghhi ,pcmicnoeal and tfeheerro lypviessa dsednsit ni noepessr ot sceenira ue.lmov hsTi vepssai nodssseiin edeserasc eht VP.R

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motherhen  I outhtgh ni ciogdancrei ,sokch PWCP cna be creienasd or raedecesd epneddngi no if eht dlobo is cbaignk up ni the nusgl (LFH) or dyob H(.F)R aCn nmsoeeo alfiycr woh ew kwon hihcw is apgpihenn rehe? +1
motherhen  CPPW* +
jsanmiguel415  hTey ays 'tsi an r"arntieo "MTSIE ihhcw to em tamen V3, V4 aka LA,D iwhch ilppesus teh ltfe etelcvnri os ceianserd .WPPC If PCPW wsa cearedsde ti dlowu mean itgrh cnvleiret is ptisrdeud hhiwc is ermo CAR dan uowdl be II, I,I FAV or na orenrifi dasel +4



 +14  upvote downvote
submitted by ∗yb_26(316)
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yM ilspme sguaenrnddtin is thta s'pt aerht aocnryilicttt is srdedecae deu ot MI g;&t= hrate cta'n pump a tlo of ldboo g=;&t nascideer ucpakb lwof inot plrnyuaom ueaaculsrtv t=&;g ardecnies WPP.C

eMor oobdl ni upaynrlom utsaurlcave =;g&t tehy lwil daltei in erdor ot ustj eepk all these olodb =g&;t dreeasdce upmyloarn slrvacua eatcesnisr

acerDeesd aarccdi utptou =t;g& rilerpheap otoicviconassrnt ;t=&g ceienarsd mceistys raaslucv ssecintear

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susyars  Teh oqitsuen assy “TS aeivetonl in the etaiorrn desal“ so, in omse ywa I asw ntgikinh of hte most tienraro ptar of eht taehr hhciw is hte hgrti ltecnei,rv and not the telf .one +4
makinallkindzofgainz  ioeAnrtr TISEM = TS asvtnloeei in 3,V 4V hwhic is elpipsdu yolmst yb eth L.DA RV is tmysol pulspdie by het ,RAC chiwh wlodu hsow pu no an GKE hitw hccisime hgnecsa ni ,II I,II and avF +7
qiss  tBw cinsradee PWPC iacsietdn ensdiacer oodlb in the telf a,irtum not eclesransiy eiacsnder blodo in hte plunrayom racuautlves ees ehre. +



 +6  upvote downvote
submitted by ∗keycompany(351)
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nresdAwe ym nwo nsqt.ioue rncIeaesd sesstr rfmo a TSMIE lilw ivaacett het tphastciemy vnsureo mssety -- nmyuPlora avldn.tsioioa

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pathogen7  uJts ot ,add OHCINCR ehart lfeuira is a ceuas fo uomnyprla npryetinsoe.h oS in eth aecut nsttge,i lrymopuna maede aldse to aercedsed ,RPV hiwle ni the hcronic isegnt,t ti anc adel to ieaenscrd V,RP I i?knht +
hungrybox  sihT no'tdse mkae ees.sn tgainitcAv eth tapyhimcets uesonrv esysmt douwl aucse oiirtnolhcadnob avi( β2) tbu ist' rlcenua ot em whhtere ti dluow nirccostt het odbol vseelss a(iv -1α) ro tleida tmeh (aiv )β2. +1



 +2  upvote downvote
submitted by ∗mousie(272)
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if ruoy OC flasl ... 'ulowtdn ahtt ueasc nicastincsorotvo in teh lung tsluu?ceavar pyaihxo iuddnce srsontovt?cnioaci

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ug123  yM ekat no si-i-sthH-- neiraptisros rea iiam2tt/hn-ghh--2 llwi seacu 0c2 s---touohwsa uaalclty gunl hsa hgih uxylagyo--non-pmer ioidalsvtaon. tDon wkon if sit ithgr. +5
usmleuser007  yM tsgenrdiunadn is ttha eth uorpalynm cnrtlicouai shgaecn ervy tlliet in etmsr of na uatec .IM tI si c/b upromalyn colturaiicn ash a otl oemr moor to lfil with oobdl hmcu ekil hte nspeel in rsemt of blodo utlciaca.numo Wtih reghhi volmue of bldoo in myplronau rolni,actuci ermo boodl sevsesl aer ebal to be utdeerirc lepasylci eth .pxea Wtih oemr ceutdreri dbool sseslve = edeudcr rseeursp d/t tuaicrlnioc in alrelpla +



 +1  upvote downvote
submitted by ∗usmleuser007(464)
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My gsarntdiduenn si that hte alprunyom norilticacu sgnhcea ryev eilttl ni sertm of an cauet .MI

It is cb/ uarmpyonl cliriuotacn sah a tlo reom ormo to llfi hwit obldo cumh eilk eht enelps ni sermt of doolb mutn.caciloau

Wthi ihhreg euvmlo fo obdlo in pyroluman clr,tincioau orme ldobo eesvlss are able ot eb eucetdrir cilelysap hte ea.xp

hWti eomr ierudrcet doblo lesvess = eerdduc resserup /td tincraoliuc ni llealrpa

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sheska  e,ys ni rsoadb nda yenodb eh lpaxine t.his rlxroeavleta lessvse= etrasrei dan esnv,i rraoaleilnvat livsiseaplace=rels.s eiiapalrcsl illw reiancse eraesctnsi subaeec llwi evha orem obdol mrof baukcp fo the eftl tiamru adn illw egt sudegdm g=&;t nieesacr PPCW resiaetr dna nsvei thiw meor olobd lwli pneo omre adn usth ersdacee ypnroalum vraacusl stsai.rneec +



 +1  upvote downvote
submitted by diplococci(1)
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I asw secufond eesubac WU 29081 ssay yarmpounl arytre iltsysco supreres ilwl eb irsendaec to aimatinn oarwdrf oemtmnev fo oolbd. How does tish not alde to mpuorylan avurcsla eensscitar nigeb cni?sedrea

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boostcap23  ersrsPeu eonstd' lcisernseya leqau dcaneesri clusrava cr.aetnesis nroulyaPm siaertcsen lrnueatigo nlaimy ernacisse in eraas fo yiax,hop nad sdeaeescr ni wegedl-lxnoayet ares'a to ends boodl ot lewl evltiteand sa,aer ogtinhn to do hwti na autec .MI In atfc ni IM etehr is avtinsloiado of icapal ircalepasli dan het V/Q toair wlli prcahopa 1 ot eotdamoaccm eth atrex oodl.b In tihs aitpet,n uyo acn ese ihs ysteimsc odbol sreuspre si lwo ety hsi tscymsei rasucalv eatesrsinc is high (eud ot ayhmseipttc rntosoctcini of seslvse ni psseoenr to olw )C.O I sjtu guhtoth fo ti kile who ni olmarn nirtseg astet itnaeitlnov is saetwd at the pxea so ni a leumvo elarodedvo ttesa htat xarte oobdl luodc go pu to eth .xepa +1



 +1  upvote downvote
submitted by ∗keycompany(351)
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naC dbosmeyo hwo danntsrued hyw PVR erecassed ihtw a fdie-LdeSt naftcir aeselp ilntheeng e.m I wolud aols cpatpeiera ti if ouy cuold eeartl ti to htrig sdeid hreat lrfiuea too .(i.e owh lwoud ti c.gha)ne

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sajaqua1  I ievleeb ttah y'eapnycosmk wanrse mcseo eth .lcssteo In an ,MI rsoecidn it sa cgioniraecd shock. heT etrah is a mup,p and it is ailfgni to mveo oodlb tuo fo eth eatrh nad iton r.lvsaeuctau shiT si yhw PWCP nes.iescar aeecusB of ncisfiintuef tout,pu teh boyd has a yhitpmaestc pneo.rses Teh lhoeicsaetacmn hent cueas otniivcnotrsosca in epahplreri teuavsalurc ot epke doblo uprreess pu and inuotcen ,fwlo eagldin to arnesceid S.VR ,winlMeeah eht eshtaiympct essnpreo aseucs adniolsovait ni het lgn;su shit wudlo be na arpipaotrep yltueograatour onsesrp,e cseabeu eth oybd is yntrgi ot kepe pu eht wlfo fo xenoyg ogrhothuut eth ess.tmy hsiT saecderse Ppmv/s../P71sp l 5ic.waw/5c/V nehMtrC8ioliwng/4t/5:hm.tn .bRc sI a yptret doog itlreac no th.is Of ruoesc hte iindngb fo ltocticeamheans aghnsec eneipdgdn on sautorntia dna het ponreses si otn reeytfpcl udstronod.e +13
usmleuser007  yM snrenduanidtg si thta hte apluonymr cractliioun aghsnec rvey tlltei in esrmt fo na auect MI. It si /cb ypoumalnr ctilruoaicn sha a tlo orme romo to flli htwi dbolo mchu elik eht snelpe in strem of dlobo lahac couW.itumitn hheigr elouvm of lobod in mlpunoyar o,ucrltnaici omer bldoo eesslvs rea bael to eb iuecedrtr lyipseacl teh .paex iWht emro dretrecui lobod lesesvs = udedcer resersup /dt oraicitnlcu ni la.arplle +2



 +0  upvote downvote
submitted by ∗kevintkim4(4)
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eornrAti dlea MI eandgil ot ecoariindcg koshc tihw dcesedear VL iir.taonlcyttc

VRS sreis ni ariengocidc ohksc as proeaostnycm ssrenpoe ot owl .CO CWPP resis cbsuaee in oienratr MI et'rseh eecdrasde tacynlicriott dna obdlo cksab up into L.A

Taht aevesl oen swnera tniopo fo hihg SVR dna high PPCW adn ouy dot'n evne vhea to tknih auobt VPR );

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 +0  upvote downvote
submitted by ∗jurrutia(47)
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tnWsa' sreu obaut V,PR tub SVR dna CPWP dfe og .pu tahT ynol evseal 1 ws.rean

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 -2  upvote downvote
submitted by louisville(12)
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Anr:swe RSV eeinscr;ad RPV ecdasered; PPWC .dernseaic

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kcyanide101  PEELAS NTO:E If htis nsiteuoq wsa na MI in teh ,CAR eth CPPW si dreu.dec +



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